J9360
HCPCS Procedure Code
HCPCS code J9360 is the #8,810 most-billed Medicaid procedure code, with $1K in payments across 57 claims from 2018–2024. The national median cost per claim is $19.09.
Total Paid
$1K
0.00% of all spending
Total Claims
57
Providers
2
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for J9360? Based on 2 providers billing this code nationally.
Median
$19.09
Average
$19.09
Std Dev
$0.46
Max
$19.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.92 and $19.25 per claim for this code.
90% bill between $18.83 and $19.35.
Top 1% bill above $19.41.
About This Procedure
HCPCS code J9360 was billed by 2 providers across 57 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 24 unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.09
Providers Billing
2
National Spending
$1K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.